Provider Demographics
NPI:1174809354
Name:ARBOR HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ARBOR HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PIVOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-865-5730
Mailing Address - Street 1:1300 WEATHERVANE LN
Mailing Address - Street 2:SUITE 326
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5109
Mailing Address - Country:US
Mailing Address - Phone:330-865-5730
Mailing Address - Fax:330-865-5740
Practice Address - Street 1:1300 WEATHERVANE LN
Practice Address - Street 2:SUITE 326
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5109
Practice Address - Country:US
Practice Address - Phone:330-865-5730
Practice Address - Fax:330-865-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicare Oscar/Certification